Open AccessLong-term complications in hypertensive patients associated with type 2 diabetes mellitus with hypertensive crises
Author(s) -
Y. L. Nesterov,
Irina Bondareva,
A. T. Teplyakov
Publication year - 2007
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2007-13-1-44-49
Subject(s) - medicine , diabetes mellitus , ventricle , type 2 diabetes , cardiology , heart failure , stroke (engine) , complication , surgery , endocrinology , mechanical engineering , engineering
The aim of the research is to study remote (3 years) forecast of the patients with arterial hypertension (AH) with crisis current associated with type 2 diabetes and without diabetes, and to estimate the efficiency of the antihypertension therapy. Comparison analysis of cardiovascular complications in 120 patients with AH with type 2 diabetes (n=60) and without diabetes (n=60) was carried out. Initially the groups were identical on AH duration and the current of cardiovascular complications, hi 3 years a higher frequency of cardiovascular complications in patients with AH with diabetes compared to the patients without diabetes was detected. Besides, the patients with chronic cardiac failure increased by 21,7%, with stenocardia by 20%, with myocardial infraction by 13,4%, with cerebral stroke by 11,7%, the mass of left ventricle myocardium has increased by 15%, lethality is 8,3%. The showings of the patients with AH without diabetes were 11,7%, 15,0%, 6,7%, 6,7%, 5,9%, and 3,2% accordingly. A low efficacy of secondary drug prophylaxis of AH in the patients of both groups has been marked. Among the patients with AH and diabetes only 58,3% underwent a regular treatment, without diabetes - 31,7%. 41,7% and 68,3% patients underwent a treatment on an irregular basis. Target levels of AH were reached in 18,3% and 15,0% patients correspondingly.